| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.81 | $13.81 | $13.81 | |
Aetna
| Professional | $3.40 | $3.40 | $3.61 | |
Cigna
| Facility | $3.75 | $3.75 | $3.75 | |
Cigna
| Professional | $3.75 | $3.75 | $3.75 | |
United
| Professional | $3.75 | $3.75 | $5.47 |